Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.92 / $112.92 / $112.92	Facility		$112.92	$112.92	$112.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.92 / $143.11 / $166.08	Professional		$112.92	$143.11	$166.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $157.91 / $157.91	Facility		$157.91	$157.91	$157.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $211.24 / $272.25	Professional		$152.63	$211.24	$272.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $211.93	Professional		$32.34	$32.34	$211.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.57 / $147.57 / $208.26	Facility		$121.57	$147.57	$208.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.33 / $233.88 / $362.23	Professional		$160.33	$233.88	$362.23
United Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $214.71 / $290.50	Professional		$144.36	$214.71	$290.50